U.S. patent application number 10/688153 was filed with the patent office on 2004-05-13 for surgical instrument.
Invention is credited to Kothe, Lutz.
Application Number | 20040093019 10/688153 |
Document ID | / |
Family ID | 32115321 |
Filed Date | 2004-05-13 |
United States Patent
Application |
20040093019 |
Kind Code |
A1 |
Kothe, Lutz |
May 13, 2004 |
Surgical instrument
Abstract
In a surgical instrument with a pulling or pushing element for
actuating at least one jaw part, the pulling or pushing element is
to be assigned at least one bar.
Inventors: |
Kothe, Lutz; (Radolfzell,
DE) |
Correspondence
Address: |
BACHMAN & LAPOINTE, P.C.
900 CHAPEL STREET
SUITE 1201
NEW HAVEN
CT
06510
US
|
Family ID: |
32115321 |
Appl. No.: |
10/688153 |
Filed: |
October 17, 2003 |
Current U.S.
Class: |
606/205 |
Current CPC
Class: |
A61B 17/29 20130101;
A61B 2090/0813 20160201; A61B 2017/294 20130101; A61B 2017/2902
20130101 |
Class at
Publication: |
606/205 |
International
Class: |
A61B 017/28 |
Foreign Application Data
Date |
Code |
Application Number |
Nov 5, 2002 |
DE |
102 51 785.1 |
Claims
1. A surgical instrument with a pulling or pushing element for
actuating at least one jaw part, wherein the pulling or pushing
element is assigned at least one bar.
2. The surgical instrument as claimed in claim 1, wherein two bars
are connected to one another.
3. The surgical instrument as claimed in claim 2, wherein the two
bars are connected via at least one connecting bridge, a clamping
ring, a guide rivet or the like.
4. The surgical instrument as claimed in claim 1, wherein, at least
on one side, the pulling or pushing instrument is supported against
a bar via at least one spacer.
5. The surgical instrument as claimed in claim 1, wherein the bars
and the pulling or pushing element are located in a removable
protective tube.
6. The surgical instrument as claimed in claim 5, wherein an
outwardly directed outer contour of the bars is shaped to match an
inner surface of the tube.
7. The surgical instrument as claimed in claim 5, wherein the
protective tube is made of plastic.
8. The surgical instrument as claimed in claim 1, wherein the end
of at least one bar is connected to a jaw part in a hinged
manner.
9. The surgical instrument as claimed in claim 8, wherein the end
of the bar has a bead which engages in a groove in the jaw part,
said groove turning partially about the bead.
10. The surgical instrument as claimed in claim 8, wherein an end
of the bar before the bead is designed to be elastic.
11. The surgical instrument as claimed in claim 8, wherein the jaw
parts are connected to one another at their ends via a hinge
pin.
12. The surgical instrument as claimed in claim 11, wherein the
pulling or pushing element engages on the hinge pin.
13. A surgical instrument with a pulling or pushing element for
actuating at least one jaw part, wherein the pulling or pushing
element engages with a bead in a groove in the jaw part, and the
jaw part engages with a rotating end into a recess in the other jaw
part and rotates with the end in this recess.
14. The surgical instrument as claimed in claim 13, wherein the
rotating end has an abutment tip which bears against an inner wall
of the recess.
Description
(1) FIELD OF THE INVENTION
[0001] The invention relates to a surgical instrument with a
pulling or pushing element for actuating at least one jaw part.
(2) DESCRIPTION OF THE RELATED ART
[0002] The present case involves in particular surgical instruments
with tubular shafts used in endoscopy. These instruments are used,
for example, to perform various surgical procedures within the
human body. They are mainly distinguished by the fact that a
pulling or pushing element for the working elements, in particular
for jaw parts, is arranged displaceably in a protective tube, said
jaw parts being located at one end of the protective tube, while
the pulling or pushing element is connected at the other end to
grip arms with which the pulling or pushing element and thus the
jaw parts are moved. Reference is made purely by way of example to
WO 95/15720 or DE 43 41 735 C1.
[0003] In view of the hygiene demands placed on surgical
instruments nowadays, it is imperative that the instrument be
cleaned thoroughly after the surgical intervention. This is highly
problematic in the case of surgical instruments with a closed
protective tube and with a pulling or pushing element lying inside
the latter, because these instruments have to be dismantled and
flushed clean. In practice, this cleaning procedure can be
monitored only in a very unsatisfactory way.
SUMMARY OF THE INVENTION
[0004] The object of the present invention is to develop a surgical
instrument of the above-mentioned type which can be cleaned much
better. In addition, it should also be possible for the cleaning to
be better monitored.
[0005] This object is achieved by the fact that the pulling or
pushing element is assigned at least one bar.
[0006] This bar (note however that two bars are preferably used)
serves to stabilize the guiding of the pulling or pushing element
and preferably also to connect it to at least one jaw part. This
means, however, that the protective tube now only has a protective
function, and no longer any actual working function, so that it can
have a much simpler design. For this reason, it is also possible
for the protective tube to be made, for example, as a plastic
disposable article, so that it no longer has to be cleaned. To
clean the surgical instrument, the protective tube is removed from
the bars and the pulling or pushing element and discarded, and,
after the bars and the pulling or pushing element have been
cleaned, is replaced by a new one.
[0007] After removal of the protective tube, however, all parts of
the bars and of the pulling or pushing element are exposed and can
thus be very easily reached by suitable cleaning agents. A visual
check of these reusable parts is also easily possible.
[0008] Where two bars are provided, these are preferably connected
to one another. The connection can be made via suitable connecting
bridges, clamping rings, guide rivets or the like. If desired, it
is of course also possible for a plurality of bars to be
provided.
[0009] To ensure that the space between the pulling or pushing
element and the bars can be easily cleaned, both are supported
against one another via spacers. These spacers can be formed
integrally on the pulling or pushing element or else also on the
bars.
[0010] The bars preferably have an outer contour which matches an
inner surface of the tube. This makes it easier to push the
protective tube on.
[0011] In this embodiment it is now possible to connect the ends of
the corresponding jaw parts to the bars. This connection is
preferably hinged, so that the jaw parts can be pivoted relative to
the bars.
[0012] In one illustrative embodiment, the ends of the bars each
have a bead which engages in a groove in the jaw part, said groove
turning partially about the bead. In this case it may prove
advisable to make the end of the bar before the bead elastic, so
that the bars can spread apart at the ends. In this way, upon
closure of the jaw parts, a closing pressure is also exerted on the
jaw parts so that the work of the operating surgeon, for example
cutting of tissue, is made easier.
[0013] The ends of the two jaw parts are also connected to one
another via a hinge pin and connected to the pulling or pushing
element, so that the jaw opens or closes as the pulling or pushing
element is moved.
[0014] In another illustrative embodiment of the invention for
which protection is also sought separately, the pulling or pushing
element engages with a bead in a groove in the jaw part. The jaw
part in turn sits with a rotating end in a recess in the other jaw
part and rotates with this end in this recess. To ensure that the
movement of the jaw part in this recess can be controlled, the
rotating end of the movable jaw part in the recess has an abutment
tip which bears against an inner wall of the recess. This abutment
tip forms a fixed point of rotation.
[0015] This design of the jaw mechanics has the considerable
advantage that no bores and no riveted joints are needed to permit
opening or closing of the jaw. By means of this design, weak points
caused by bore holes or by breaking of rivets are eliminated.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] Further advantages, features and details of the invention
will become clear from the following description of preferred
illustrative embodiments and with reference to the drawing, in
which
[0017] FIG. 1 shows a perspective view of a detail of a surgical
instrument according to the invention;
[0018] FIG. 2 shows a front view of the detail of the surgical
instrument according to FIG. 1;
[0019] FIG. 3 shows a front view of a detail, corresponding to FIG.
1, of another illustrative embodiment of a surgical instrument;
[0020] FIG. 4 shows a perspective view of a detail of a further
illustrative embodiment of a surgical instrument;
[0021] FIG. 5 shows a front view of a detail of a further
illustrative embodiment of a surgical instrument;
[0022] FIG. 6 shows a plan view of parts of a surgical instrument,
with jaw parts in the open position;
[0023] FIG. 7 shows a plan view of parts of the surgical instrument
corresponding to FIG. 6, with jaw parts in the closed position;
[0024] FIG. 8 shows a side view of a jaw part according to the
invention;
[0025] FIG. 9 shows a plan view of the jaw part according to FIG.
8;
[0026] FIG. 10 shows a side view of a front end of a bar according
to the invention;
[0027] FIG. 11 shows a side view of a further illustrative
embodiment of a jaw part;
[0028] FIG. 12 shows a side view of the front end of an attachment
piece according to the invention with rigid jaw part;
[0029] FIG. 13 shows a side view of an element from the front area
of a further illustrative embodiment of a surgical instrument, with
a jaw part in the open position;
[0030] FIG. 14 shows a side view of the front area of a surgical
instrument according to FIG. 13, with the jaw part in the closed
position.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0031] The surgical instrument according to the present invention
is in principle a tubular shaft instrument, such as is shown in WO
95/15720 for example. In the latter, working elements, in
particular jaw parts, are moved for the purpose of performing an
intervention in a human body for example. The movement of the jaw
parts is effected via a pulling or pushing element which is
connected to at least one grip arm of a handpiece.
[0032] In FIG. 1 this pulling or pushing element is indicated by 1
and is designed as a flat rail. According to the invention, the
pulling or pushing element moves between two bars 2.1 and 2.2, said
bars 2.1 and 2.2 being connected to one another via connecting
bridges 3.1 and 3.2. A respective outer contour 4 of the bars 2.1
and 2.2 has a rounded configuration and matches an inner surface 5
of a protective tube 6. The connecting bridges 3.1 and 3.2 also
have a rounded configuration.
[0033] By contrast, an inner contour 7 of the bars 2.1 and 2.2 has
a flat configuration, so that the pulling or pushing element can
slide along it. Spacers 8 can be provided on the bars 2.1 and 2.2
or also on the pulling or pushing element 1, as is shown in FIG.
3.
[0034] The illustrative embodiment of a surgical instrument
according to FIG. 4 differs from that in FIG. 1 in that the unit
made up of the two bars 2.1 and 2.2 and of the pulling or pushing
element 1 is held together by a clamping ring 9.
[0035] According to the illustrative embodiment of a surgical
instrument according to FIG. 5, the two bars 2.1 and 2.2 are held
together by a connecting element 10, which for example can be
designed as a guide rivet. This connecting element 10 also extends
through the pulling or pushing element 1, a corresponding oblong
hole 11 being able to be provided in the area of the connecting
element 10 so that the pulling or pushing element 1 retains its
freedom of movement.
[0036] The way in which the present invention functions is as
follows:
[0037] In the assembled state, the protective tube 6 encloses the
bars 2.1 and 2.2 and their connecting bridges 3.1 and 3.2 and the
clamping ring 9. The pulling or pushing element 1 can be pushed to
and fro between the bars 2.1 and 2.2 by moving the above-mentioned
grip arm, so as to permit opening and closing of corresponding jaw
parts.
[0038] If the instrument is to be cleaned, the protective tube 6 is
removed, and the unit made up of the bars 2.1 and 2.2 and the
pulling or pushing element 1 is subjected to a suitable cleaning
solution or a cleaning bath. The spacers 8 ensure that the pulling
or pushing element is at a distance from the bars 2.1 and 2.2, so
that a cleaning solution can flow unrestrictedly about all the
parts. The state of cleaning can be easily checked either visually
or by other means.
[0039] The protective tube 6 is preferably made of plastic so that
it can be a disposable article. After the other parts have been
cleaned, a new protective tube can be pushed onto the unit made up
of bars 2.1 and 2.2 and pulling or pushing element 1 from the
direction of the jaw part or from the direction of the
handgrip.
[0040] The arrangement of the bars 2.1 and 2.2 also permits a
particular design of the movement mechanism forjaw parts 12.1 and
12.2, as is shown in FIGS. 6 through 9. Here, a front end 13 of the
bar 2.1, 2.2 is made elastic and has a bead 14 at its free end.
This bead 14 sits in a groove 15 formed in the jaw part 12.1,
12.2.
[0041] Each jaw part 12.1, 12.2 also has an attachment 16 with a
bore 17 for receiving a hinge pin 18. This hinge pin 18 also
extends through a bore (not shown) in the pulling or pushing
element 1, this guaranteeing the movement of the jaw parts 12.1 and
12.2.
[0042] In the starting position shown in FIG. 6, the pulling or
pushing element 1 is pushed forward onto the jaw parts 12.1 and
12.2, as is indicated by the corresponding arrow. The jaw parts
12.1 and 12.2 are thus opened, and the front ends 13 of the bars
2.1 and 2.2 are also spread outward.
[0043] If the pulling or pushing element 1 is now pulled back, as
is indicated in FIG. 7 by the corresponding arrow, the hinge pin 18
and with it the jaw parts 12.1 and 12.2 are entrained toward the
right, said jaw parts 12.1 and 12.2 turning with their grooves 15
about the beads 14. In this way, the jaw parts 12.1 and 12.2
close.
[0044] In the illustrative embodiment of the invention according to
FIGS. 12 through 14, a surgical instrument is shown which opens on
one side. A movable jaw part 12.3 again has a groove 15 for
receiving the bead 14, which this time however is provided at a
free end of a pulling or pushing element 1.1. This pulling or
pushing element 1.1 passes through a recess 19 in an attachment
piece 20, the latter comprising, after the recess 19, a further
recess 21 which is adjoined by a rigid jaw part 12.4.
[0045] The movable jaw part 12.3 is inserted with a rotating end 22
into the recess 21, said rotating end 22 having an abutment tip 23
which in the use position bears against an inner wall 24 of the
recess 21.
[0046] The respective arrows in FIGS. 13 and 14 indicate the
pushing and pulling directions of the pulling or pushing element
1.1, the jaw being opened and closed by means of movement of the
movable jaw part 12.3. The pulling or pushing element 1.1 slides in
the recess 19, and a step 25 on the pulling or pushing element
limits a movement of the element.
* * * * *